Abstract
BackgroundBoth individual socio-cultural determinants such as selected parental characteristics (migrant background, low educational level and workload) as well as the regional environment are related to childhood overweight and physical activity (PA). The purpose of the study was to compare the impact of distinct socio-cultural determinants such as the regional environment and selected parental characteristics on adiposity, PA and motor skills in preschool children.MethodsForty preschools (N = 542 children) of two culturally different urban regions (German and French speaking part of Switzerland) participated in the study (Ballabeina Study). Outcome measures included adiposity (BMI and skinfold thickness), objectively measured sedentary activities and PA (accelerometers) and agility performance (obstacle course). Parental characteristics (migrant status, educational level and workload) were assessed by questionnaire.ResultsChildren from the French speaking areas had higher adiposity, lower levels of total and of more intense PA, were more sedentary and less agile than children from the German speaking regions (percent differences for all outcome parameters except for BMI ≥10%; all p ≤ 0.04). Differences in skinfold thickness, sedentary activities and agility, but not in PA, were also found between children of Swiss and migrant parents, though they were ≤8% (p ≤ 0.02). While paternal workload had no effect, maternal workload and parental education resulted in differences in some PA measures and/or agility performance (percent differences in both: ≤9%, p ≤ 0.008), but not in adiposity or sedentary activities (p = NS). Regional differences in skinfold thickness, PA, sedentary activities and agility performance persisted after adjustment for parental socio-cultural characteristics, parental BMI and, where applicable, children's skinfolds (all p ≤ 0.01).ConclusionsThe regional environment, especially the broader social environment, plays a prominent role in determining adiposity, PA and motor skills of young children and should be implicated in the prevention of obesity and promotion of PA in children.Trial Registrationclinicaltrials.gov NCT00674544
Highlights
Both individual socio-cultural determinants such as selected parental characteristics as well as the regional environment are related to childhood overweight and physical activity (PA)
Socio-cultural determinants We investigated the respective role of different sociocultural determinants: the broad regional environment on one side and individual socio-cultural determinants, such as parental migrant status, educational level and workload on the other side
Body mass index (BMI), skinfold thickness, sedentary activities and TV viewing time were higher and total PA, moderate-vigorous physical activity (MVPA), vigorous physical activity (VPA) and agility performance were lower in the French speaking compared to the German speaking part)
Summary
Both individual socio-cultural determinants such as selected parental characteristics (migrant background, low educational level and workload) as well as the regional environment are related to childhood overweight and physical activity (PA). The purpose of the study was to compare the impact of distinct sociocultural determinants such as the regional environment and selected parental characteristics on adiposity, PA and motor skills in preschool children. Individual socio-cultural determinants such as selected parental characteristics (migrant background, low educational level and high workload) are known risk factors for childhood overweight/obesity and sedentary behaviours [9,10,11,12]. With its linguistic and cultural diversity, Switzerland offers the opportunity to study diverse cultural environments within the same country It can serve as a model to examine the impact of the regional environment on adiposity, PA and motor skills in children
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